Medullary Schistosomiasis

Detalhes bibliográficos
Autor(a) principal: Pappamikail, L
Data de Publicação: 2014
Outros Autores: Fernandes, P, Gonçalves, C
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.17/1903
Resumo: BACKGROUND: Schistosomal infestation of the central nervous system is a rare cause of cord compression, although a predominant one in endemic areas. CASE DESCRIPTION: A 38-year-old male, native of Ivory Coast, with a history of 1 month of progressive paraparesis, neurogenic bladder, diminished deep tendon reflexes of the lower limbs, and sensory level. The magnetic resonance imaging (MRI) showed a medullary lesion at D4-D5 level, suggestive of an intramedullary tumor. Laminotomy of D3 to D5 and excision of a grayish white lesion according to a preliminary histopathologic review suggestive of a high grade glioma. Definitive histopathology review established the diagnosis of medullary schistosomiasis. CONCLUSION: Schistosomal myeloradiculopathy should be considered in patients presenting with cord compression or features of transverse myelitis, especially in patients from endemic areas or low social economic settlements.
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spelling Medullary SchistosomiasisCHLC NCIREsquistossomoseDiagnóstico DiferencialResultado de TratamentoBACKGROUND: Schistosomal infestation of the central nervous system is a rare cause of cord compression, although a predominant one in endemic areas. CASE DESCRIPTION: A 38-year-old male, native of Ivory Coast, with a history of 1 month of progressive paraparesis, neurogenic bladder, diminished deep tendon reflexes of the lower limbs, and sensory level. The magnetic resonance imaging (MRI) showed a medullary lesion at D4-D5 level, suggestive of an intramedullary tumor. Laminotomy of D3 to D5 and excision of a grayish white lesion according to a preliminary histopathologic review suggestive of a high grade glioma. Definitive histopathology review established the diagnosis of medullary schistosomiasis. CONCLUSION: Schistosomal myeloradiculopathy should be considered in patients presenting with cord compression or features of transverse myelitis, especially in patients from endemic areas or low social economic settlements.MedKnow PublicationsRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEPappamikail, LFernandes, PGonçalves, C2014-08-28T16:23:48Z20142014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/1903engSurg Neurol Int. 2014 May 9;5:66info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:33:49Zoai:repositorio.chlc.min-saude.pt:10400.17/1903Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:18.144431Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Medullary Schistosomiasis
title Medullary Schistosomiasis
spellingShingle Medullary Schistosomiasis
Pappamikail, L
CHLC NCIR
Esquistossomose
Diagnóstico Diferencial
Resultado de Tratamento
title_short Medullary Schistosomiasis
title_full Medullary Schistosomiasis
title_fullStr Medullary Schistosomiasis
title_full_unstemmed Medullary Schistosomiasis
title_sort Medullary Schistosomiasis
author Pappamikail, L
author_facet Pappamikail, L
Fernandes, P
Gonçalves, C
author_role author
author2 Fernandes, P
Gonçalves, C
author2_role author
author
dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Pappamikail, L
Fernandes, P
Gonçalves, C
dc.subject.por.fl_str_mv CHLC NCIR
Esquistossomose
Diagnóstico Diferencial
Resultado de Tratamento
topic CHLC NCIR
Esquistossomose
Diagnóstico Diferencial
Resultado de Tratamento
description BACKGROUND: Schistosomal infestation of the central nervous system is a rare cause of cord compression, although a predominant one in endemic areas. CASE DESCRIPTION: A 38-year-old male, native of Ivory Coast, with a history of 1 month of progressive paraparesis, neurogenic bladder, diminished deep tendon reflexes of the lower limbs, and sensory level. The magnetic resonance imaging (MRI) showed a medullary lesion at D4-D5 level, suggestive of an intramedullary tumor. Laminotomy of D3 to D5 and excision of a grayish white lesion according to a preliminary histopathologic review suggestive of a high grade glioma. Definitive histopathology review established the diagnosis of medullary schistosomiasis. CONCLUSION: Schistosomal myeloradiculopathy should be considered in patients presenting with cord compression or features of transverse myelitis, especially in patients from endemic areas or low social economic settlements.
publishDate 2014
dc.date.none.fl_str_mv 2014-08-28T16:23:48Z
2014
2014-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.17/1903
url http://hdl.handle.net/10400.17/1903
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Surg Neurol Int. 2014 May 9;5:66
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dc.publisher.none.fl_str_mv MedKnow Publications
publisher.none.fl_str_mv MedKnow Publications
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